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Maine rates for HCPCS 81542

Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $9,682.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,137.13 / $3,873.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.20 / $1,549.20 / $2,517.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,478.07 / $3,919.32 / $4,093.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $3,911.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $9,682.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,873.00 / $3,873.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.23 / $2,323.80 / $5,809.50